MEDICARE: VERITAS HEALTHCARE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	251F00000X	Home Infusion Agency
3	251G00000X	Community Based Hospice Care Agency
4	251J00000X	Nursing Care Agency
5	251E00000X	Home Health Agency
6	363LP2300X	Primary Care Nurse Practitioner
7	310400000X	Assisted Living Facility
8	385H00000X	Respite Care
9	343900000X	Non-emergency Medical Transport (VAN)
10	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1609569292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERITAS HEALTHCARE PLLC

Provider Business Mailing Address
First Line	:	30 ACOMA BLVD S STE 204
Second Line	:
City	:	LAKE HAVASU CITY
State	:	AZ
Zip	:	86403-5920
Country	:	US
Telephone Number	:	928-315-1694
Fax Number	:	928-361-9885

Provider Business Practice Location Address
First Line	:	30 ACOMA BLVD S STE 204
Second Line	:
City	:	LAKE HAVASU CITY
State	:	AZ
Zip	:	86403-5920
Country	:	US
Telephone Number	:	213-270-4406
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	KEMELLA SILLAH
Credential	:
Telephone Number	:	213-270-4406

Provider Enumeration Date	:	05/30/2023
Last Update Date	:	01/16/2026

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Directions to “VERITAS HEALTHCARE PLLC ” Practice Location

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